<?php

/*
 * To change this template, choose Tools | Templates
 * and open the template in the editor.
 */
?>
<div class="col_12">

    <div class="col_12"><strong>Cliente Nuevo</strong></div>

    <div class="col_12">

                    
                    <div class="col_5"><label for="text1">Nombre</label></div>
                    <div class="col_7">
                        <input id="txtNombre" type="text" />
                    </div>
                    
                    <div class="col_5"><label for="text1">Contacto</label></div>
                    <div class="col_7">
                        <input id="txtContacto" type="text"/>
                    </div>
                    <div class="col_5"><label for="text2">Telefono</label></div>
                    <div class="col_7">
                        <input id="txtTelefono" type="text"/>
                    </div>
                    <div class="col_5"><label for="text3">Direccion</label></div>
                    <div class="col_7">
                        <input id="txtDireccion" type="text"/>
                    </div>
                   <div class="col_5"><label for="text3">Fax</label></div>
                    <div class="col_7">
                        <input id="txtFax" type="text"/>
                    </div>
                    <div class="col_6">
                        <div class="col_4"><label for="text4">Sem</label></div>
                        <div class="col_8"><select class="col_12">
                            <option></option>
                            <option></option>
                        </select></div>
                    </div>
                    
                    <div class="col_6">
                        <div class="col_4"><label for="text4">Dia</label></div>
                        <div class="col_8"><select class="col_12">
                            <option></option>
                            <option></option>
                        </select></div>
                    </div>
                    
                   <div class="col_5"><label for="text3">Orden</label></div>
                    <div class="col_7">
                        <input id="txtOrden" type="text"/>
                    </div>
                    
                    <div class="col_10"></div>
                        <div class="col_2">
                          <a href="#">
                          <input type="button" class="blue" value="X"/>
                          </a>
                        </div>
                   <div class="col_9">
                            <a href="#">
                                <input type="button" class="blue" value="Teclado"/>
                            </a>
                   </div>
                    <div class="col_3">
                            <a href="#">
                                <input type="button" class="blue" value="Ingresar"/>
                            </a>
                    </div>


            </div>
</div>